Health Care Law

  • New York Law Journal

    NY Health Insurance Exchange Plans Not Seeking Enrollment Caps as in Other States

    By Josefa Velasquez | July 7, 2017

    The Department of Financial Services on July 6 said that no insurer participating in the state's health exchange will cap the number of people who enroll for coverage, as insurers offering plans on other state health exchanges across the country have done.

    1 minute read

  • The Legal Intelligencer

    Owners of Defunct Hospice to Pay $8.8M Over False Claims

    By P.J. D'Annunzio | July 7, 2017

    The owners of a now-defunct Philadelphia hospice have agreed to pay $8.8 million to settle claims that they received taxpayer money for services that were either unnecessary or never provided, federal prosecutors announced Thursday.

    1 minute read

  • New York Law Journal

    Landmark N.J. Supreme Court Ruling Boosts Fraud Fight

    By Evan H. Krinick | July 5, 2017

    Insurance Fraud columnist Evan H. Krinick writes: There seems to be no limit to the kinds of schemes that people create to defraud insurance companies and, by extension, the public, through higher premiums. Now, however, the New Jersey Supreme Court has issued a unanimous decision that certainly will help to reduce insurance fraud in New Jersey—and that, if its reasoning is adopted by other jurisdictions, likely will have the same effect in states across the country.

    1 minute read

  • New York Law Journal

    Mikulec v. Colvin

    By newyorklawjournal | New York Law Journal | July 5, 2017

    Evidence Supports ALJ's Finding on Disability; Opinion's Misattribution Not Significant

    1 minute read

  • New York Law Journal

    End-of-Life Decisions for Incapacitated Adults: Caught Between a Conflict of Laws

    By Jennifer B. Cona | July 3, 2017

    Jennifer Cona writes: The imposition of unwanted medical treatment still happens today in the context of incapacitated patients who reside in hospitals and nursing homes due to an apparent conflict between limitations placed on the powers of a guardian in some court jurisdictions versus the standards set forth under the Family Health Care Decisions Act.

    1 minute read

  • The Recorder

    Nossaman Nabs Three Ex-Michelman & Robinson Litigators

    By Rebecca Cohen | June 30, 2017

    Williams Adams, a member of the management committee at Michelman & Robinson, managing partner of the firm's San Francisco office and its local litigation head, is headed to Nossaman along with new partners David Lee and Ilse Scott.

    1 minute read

  • Daily Report Online

    Dental Clinic Manager Tagged As 'Fall Guy' Wins Acquittal

    By R. Robin McDonald | June 29, 2017

    With her supervisors' encouragement, the manager of the Dalton office of a children's dental clinic that catered to Medicaid recipients created an overheated incentive program to recruit new patients—without knowing it likely violated federal regulations.

    1 minute read

  • New York Law Journal

    Fraud and Abuse Enforcement Goes High Tech

    By Richard Strassberg and William Harrington | June 29, 2017

    In their Federal Civil Enforcement column, Richard Strassberg and William Harrington write: The eClinicalWorks settlement and OIG report will likely prompt a significant increase in enforcement activity related to electronic health records incentive payments. The authors review these developments, their ramifications, and steps EHR companies and health care providers can take to protect themselves from liability related to EHR incentive payments below.

    1 minute read

  • New York Law Journal

    NY Financial Services Dept. Issues Emergency Rules for Health Insurers Pending Possible ACA Repeal

    By Josefa Velasquez | June 28, 2017

    New York state is taking regulatory steps to ensure that health insurers maintain coverage for certain benefits currently provided under federal law…

    1 minute read

  • New Jersey Law Journal

    Telemedicine Regulatory Bill Gets Final Legislative OK

    By Michael Booth | June 23, 2017

    The New Jersey Assembly on Thursday gave final legislative approval to a bill that would impose rules and regulations on the growing practice of "telemedicine," where patients remotely receive medical evaluations or counseling from health care providers.

    1 minute read

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